Individual provider Active NPI

Gabriella Liguori

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1104604008
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09928987 Issued in CO
Practice address
3630 Sinton Rd Ste 320
Colorado Springs, CO 80907-5070
Phone
(303) 829-0555
NPI assigned
Sep 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09928987 CO Primary

Addresses

Primary practice location

3630 Sinton Rd Ste 320
Colorado Springs, CO 80907-5070

Mailing address

1120 Trek Trail HTS Apt 102
Colorado Springs, CO 80921-4515
Phone (303) 829-0555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250114001823 CO Practitioner - Clinical Social Worker 6507394848 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Voyages Counseling Ministry CurrentSince Oct 1, 2024 Accepting new patients
Voyages Counseling Ministry CurrentSince Oct 1, 2024 Accepting new patients
Voyages Counseling Ministry Clinical Past Accepting new patients

Locations

6909 S Holly Cir
Ste 304
Centennial, CO 80112
Phone (720) 729-7372

5350 N Academy Blvd
Ste 200
Colorado Springs, CO 80918
Phone (719) 331-4175

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1104604008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 TREK TRAIL HTS APT 102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809214515",
            "telephone_number": "303-829-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 SINTON RD STE 320",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075070",
            "telephone_number": "303-829-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGUORI",
        "first_name": "GABRIELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09928987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.